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Wait longer after large-volume or multi-area grafting (thrombosis risk)."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From the procedure; early check of donor and recipient sites."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"From the procedure; assessment of swelling and early volume."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From the procedure; evaluation of stabilized volume and need for repeat grafting."}}],"indications":["Facial volume loss and aging (cheeks, temples, tear troughs)","Breast reconstruction contour correction or cosmetic breast augmentation","Contour irregularities or depressions after liposuction or trauma","Buttock or body contouring volume enhancement","Scar or soft tissue defect improvement","Hand rejuvenation"],"main_risks":["Partial resorption of grafted fat with volume loss","Swelling, bruising and asymmetry","Contour irregularities, lumps or oil cysts/fat necrosis","Infection","Donor-site irregularities or pain","Rare fat embolism (serious, especially in the face or buttocks)","Calcifications that may complicate breast imaging","Need for repeat sessions"],"pain":"Mild to moderate discomfort, often greater at the liposuction donor site (soreness, bruising) than at the grafted area; usually controlled with oral analgesics.","preparation":["Preoperative consultation, medical history and photographs","Routine pre-anesthesia assessment and blood tests","Stop smoking and nicotine before and after surgery","Fasting before general anesthesia","Review medications; never stop anticoagulants or antiplatelets without surgeon's instruction","Marking of donor and recipient areas","Arrange transport and help at home","Informed consent, including possible future touch-up procedures"],"recovery_timeline":[{"phase":"Days 0-3","description":"Swelling, bruising and soreness at donor and recipient sites; compression garment on donor area.","restrictions":["Rest with light walking","Avoid pressure on grafted areas"]},{"phase":"Days 4-14","description":"Swelling and bruising gradually subside; return to desk work.","restrictions":["No strenuous activity","Avoid pressure or massage on grafted areas unless advised"]},{"phase":"Weeks 2-6","description":"Gradual return to exercise; residual swelling resolves.","restrictions":["Avoid heavy exercise until cleared by surgeon"]},{"phase":"Months 3-6","description":"Final volume becomes evident after fat resorption and stabilization.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Light daily activities resume; swelling and bruising may last longer. Wear compression 2-3 days; avoid pressure on grafts."},"result_longevity":"Fat that survives the first months is generally long-lasting, but aging and weight changes continue to affect the result; touch-up sessions are sometimes needed.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat grafting for insufficient volume after resorption; higher for face and large-volume breast or buttock; excludes complication-driven reoperations."},"scars":"Tiny puncture incisions (a few millimeters) at donor and recipient sites, usually becoming inconspicuous.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One session is typical; a second touch-up session may be performed if volume is insufficient."},"stages":[{"code":"fat_harvest_and_graft","label":"Fat harvest by liposuction, processing and injection in a single operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}},{"code":"optional_touch_up","label":"Optional repeat grafting after resorption has stabilized","after":{"min":90,"max":180,"unit":"days","qualifier":"From the first session; only if needed"}}],"qualifier":"Counts treatment sessions only, not follow-up checks."},"success":{"metric":"Graft volume retention after cosmetic breast fat grafting","value":62,"unit":"percent","horizon":"At least 12 months","evidence_status":"limited","population":"Adults after autologous fat grafting for cosmetic breast augmentation"},"techniques":[{"name":"Standard (Coleman) fat grafting","suits_whom":"Facial and small-to-moderate body volume restoration","recovery":"About 1-2 weeks of visible swelling and bruising."},{"name":"Nanofat or micro-fat grafting","suits_whom":"Superficial areas such as tear troughs, fine lines and skin quality improvement","recovery":"Usually short, with mild swelling and bruising."},{"name":"Large-volume grafting (breast or buttock)","suits_whom":"Patients wanting larger body contour changes with adequate donor fat","recovery":"Longer, often 2-4 weeks before returning to full activity."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Single session for one moderate-volume area including harvest, processing and injection; larger or multi-area cases take longer."},"initial_assessment_documents":["Photos of the area to be grafted","Full-body photos showing donor fat areas","Previous surgery or implant reports","List of current medications including blood thinners","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single session; stay 5-10 days until first check, then fly home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the hospital where the operation will be done is accredited or certified","scope":"treatment_type","source":{"url":"https://isaps.org/discover/patients-home/safety-considerations","host":"isaps.org","quote":"If your procedure is to be performed in a hospital, verify that the hospital is accredited or certified.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask the surgeon for their certification information and the name of the certifying body","scope":"treatment_type","source":{"url":"https://isaps.org/discover/patients-home/safety-considerations","host":"isaps.org","quote":"Ask your surgeon for certification information and the name of the certifying body.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask whether the surgeon and surgical facility use the WHO surgical checklist or a similar protocol","scope":"treatment_type","source":{"url":"https://isaps.org/discover/patients-home/safety-considerations","host":"isaps.org","quote":"Ask if your surgeon and surgical facility use the WHO checklist or a similar protocol.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the surgeon is fully trained in the specific procedure you want, since this can be hard to confirm","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask to see before and after pictures of the surgeon's own work","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check whether follow-up care will be done at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cosmetic surgery is offered as part of a holiday package online","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The only meeting offered is with sales staff, not with the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"You are asked to pay for a hospital you have not yet seen","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay for a hospital you have never seen","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"You are asked to pay before you have met the surgeon","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay to see a surgeon you have not 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implant beneath the breast","name":"Breast implants","source":{"url":"https://bapras.org.uk/public/patient-information/surgery-guides/breast-augmentation","host":"bapras.org.uk","quote":"Breast augmentation is usually done by inserting an implant beneath the breast to make it look larger.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"standard-fat-grafting","name":"Standard (Coleman) fat grafting","how_it_works":{"text":"Fat is separated from blood and fluids before use","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/surgical-fat-transfer/","host":"nhs.uk","quote":"Preparing the fat – special equipment is used to separate the fat collected from any blood and other 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